Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Tide Therapy, LLC

Organization Clinical Social Worker · NPI 1114513967

Life Tide Therapy, LLC is a Clinical Social Worker in Charlestown, Massachusetts. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

54 High St
Charlestown, MA 02129-3377
Phone: (603) 520-6388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13 Bowdoin St, Boston, MA 02114-4246 — (857) 302-4902

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1114513967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danielle Haynes — Licsw · (857) 302-4902
Other names Danielle A Haynes
NPI enumeratedDecember 16, 2020
Last updated in NPPESDecember 16, 2020
Certification dateDecember 16, 2020
Mailing address54 High St, Charlestown, MA 02129-3377

Other providers in Charlestown